HomeMy WebLinkAboutRoof Manifold Test Form 8
��andpipe and Hose Sy�tems
General Information
Date: 3-17-10 Inspector: Steve Martin System: Standpipe
Location: on Roof
General
System designation Water Flow Test on Roof
Building Solaris 141 East Meadow Drive Vail, CO
Location of conh•ol valve Stdit' #3 &4
Type of system �Class 1 ❑Class II ❑ Class III
Length of hose provided ❑None ❑50 ft(15 m) ❑ 75 ft(23 m) � 100 ft(30 m)
Type of hose �Rubber lined ❑ Unlined
(If unlined hose is presently installed,it may remain in use.However,when it requires replacement only lines hose should be used
in accordance with NFPA 14.)
Are shutoff nozzles provided? � Yes ❑No
(lf"no"nozzles should be replaced with shutoff type in accordance with NFPA 14.)
Are pressure regulating devices provided? � Yes ❑No
Type of regulating device Tyco PRV at Underground Supply
Vaives
Flow are valves supervised? ❑Seated ❑Locked �Tamper switch
Are valves identified with signs? �Yes ❑No
Water Supply (See Chapters 7 and 9 of NFPA 25)
When was last water supply test made? N/A
Are reservoirs,tanks,or pressure tanks in good condition? ❑Yes �No
Pumps (See Chapter 8 of NFPA 25)
Is fire pump ❑ Diesel �Electric ❑Gasoline ❑None?
Is pump in good condition? �Yes ❑No
When was pump last tested? 1-19-10
Fire Department Connections
Location Vail Fire Dept
Are identification signs provided? �Yes ❑No
Notes
Report on Water Flow Test performed on Roof to prove iQ0 PSI @ 1000 GPM. (ref. attached sheet for
actual results.
_ _ _ _ __ _ _ _ _ _._ _
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CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR MBOVEGROUND PIPING
Addifional copies of this form are Loss Prevenlion Publications-Training Resource Center
available to insureds/rom: Factory Mutual Englneenn9 and Reseatch,1151 Boslon-- Providence Tumpike,PO 8ox 91D2,Norwood,MA 02062
PROCEDURE:
Upon completion of work,inspection and tesls shall be made by ihe contracior's representative and witnessed by an owner s represen�ative.All
defects shall be corrected and system left In service before contractor's personnel finalty�eave the job.
A certificate shall be filled oul and signed by both representatives.Copies shall be prepared for approving authorities,owner's and contractor.
It is understood ihe owner's representatives signature in no way prejudices any ciaim against the contractor for faulty material,poor workmanship,
or failure to comply with approving authority's requirements or local ordinances.
PROPERTV NAME DATE
SOLARIS PROJECT 3/17/2010
PROPERTY ADORESS
141 EAST MEADOW DRIVE VAIL, CO
ACCEPTE�BY APPROVING AUTHORITY(S)NAMES
VAIL FIRE DEPT
nooRess
PLANS
INSTALLATiON CONFORMS TO ACCEPTED PIANS
�YES ❑ N�
EQUIPMENT USED IS APPROVED(IF NO,STATE DEVIATIONS BE�011� [Jj YES ❑ NO
HAS PERSON IN CHARGE OF FIRE E�UIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL Q YES ❑ NO
VA�VES AND THE CARE AND MAINTENANCE OF THIS NEW
IF NO.EXPLAIN:
INSTRUCTIONS ,
HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS BEEN Q YES ❑ NO
LEfT ON PREMISES?
IF NO.EXPLAIN�.
LOCATION OF SUPPLIES BUILDINGS
SYSTEM Fire Standpipe Flow Test
MAKE MODEL YFAR OF ORIFfCE SIZE QUANTITY TEMPERATURE RATING
MANUFACTURE
0
SPRINKLERS o
0
0
0
PIPE CONFORMS TO N.F.P.A.#13 STANDAR� y� YES ❑ NO
PIPE AND FlTTINGS FITTINGS CONFORM TO N.F.P.A.#13 STANDARD � YES ❑ NO
IF NO,EXP�AIN�.
ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH 7EST PIPE
ALARM VA�VE OR TYPE MAKE MOOEL MIN. SEC.
FLOW INDICATOR ALARM VALVE VIKING F-1
DRY VALYE Q.O.D.
MAKE MO�EL SERIAL NUMBER MAKE MODEL SERIAL NUMBER
Time Water
T�ME TD TRIP THRU AIR TRIP POINT AIR Alerm Opereted
TEST PIPE WATER PRESSURE pRE3SURE PRESSURE Raeched Test P���Y
ORY PIPE outiet
OPERATING TEST MIN. SEC. PSI PSI PSI MIN. SEC. MIN. SEC.
W ITHOU7
Q.O.D
WITH
�.O.D,
IF NO,EXPLlilN-
OPERATION ❑ PNEUMATIG ❑ ELECTRIC Q HYORAULIC
PIPING SUPERVISED � YES ❑ NO DETECTING MEDIA SUPERVISED? � VES � NO
DOES THE VALVE OPERATE FROM THE MANUAL TRIP AND!OR REMOTE CONTROL? ❑ YES ❑ NO
IS THERE AN ACCESSIBIE FACILITY IN EACH CIRCUIT FOR TESTING? ❑ YES ❑ NO
DELUGE 8� IF NO.EXPLAIN:
PREACTION VALVES
Doas each circult operete superv{sion Does eech circuit operete valve Meximum time to operate
MAKE MODEL foss alarm7 releases? releese
YES NO YES NO MIN. SEC.
HYDROSTATIC:Hydroslalic tes�s shall be made al not less than 200 psl(73.6 bars)for Iwo hours or 50 psi(3.4 bars)above stalic pressure+n
excess of 150 psi(10.3 bars)for two hours.Di�ferenlial dry-pipe valve clappers shall be leh open during test to prevent damage.All
TEST DESCRIPTION aboveground piping leakage shafl be stopped.
PNEUMATIQ Establish 40 psi(2]bars)air pressure and measure drop which shall nol exceed 1-1/2 psi(0.1 bars)In 24 hours.Test pressure
tanks a�rwrmal water level and air pressure and measure air pressure drop which shail no�exceed t-1/2 psl(0.i bars)in 24 hours.
Al�PIPING PNEUMATICALLY TESTED AT 200 PS�FOR '1 Hrs. IF NO,STATE REASON
DRY PIPWG PNEUMATICALIY TESTED? ❑ YES ❑ NO
EQUIPMENT OPERATES PROPERLY7 � YES � NO
READtNG OF GAGE LOCATED NEAR WATER SUPPLY TEST PIPE- RESIDUAL PRESSURE WITH VA�VE IN TEST PIPE�
TESTS
ORAIN TEST pSl OPEN WIDE PSI
Underground meins end leed-In connections to system risers shell ba fiushed before connection mede to sprinkler piping.
VERIFIEO BY COPY OF THE FORM NUMBER 85B? � yES ❑ NO OTHER EXPIAIN
FLUSHED 8Y INSTALLER OF UNDERGRDUND
SPRINKLER PIPING9 ❑YES ❑ NO
NUMBER USED LOCATIONS NUMBER REMOVED
BLANK
TESTING GASKETS NONE
WELDED PIPING? [� YES ❑ NO
IF YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WEIpING PROGEDURES COMPLY WITH
THE RE�UiREMENTS OF AT LEAST AWS D10.8,LEVEL AR-3? Q YES ❑No
WELOING 00 YOU CERTIFY THAT THE WELDING WAS PERFORMED BV WELDERS 4UALIFIED IN COMPLIANCE
WITN THE REOUIREMENTS OF AT f.EAST AWS D1D.9.LEVEL AR 3� �YES ❑NO
DO YOU CERTIFY THAT WELDING WASCARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITV
CnNTR01 PRI�CFfII IRF TO INSI IRF THAT AI I f�I.SCS ARF RFTRIPVFfI THAT OPFNM(;S IN PIPING
ARF SMOOTH THAT SLAG AND OTHER WELDING RESf�UE ARE REMOVE�.AND THAT INTERNAL
DIAMETERS OF PIPING ARE NOT PENE7RATED?
�YES � NO
NAMEPLATE PROVIDED? [�YES ❑ NO
HYDRAU�IC DATA IF No.EXPLA�N
NAMEPLATE
DATE IEFT IN SERVICE WITH ALL CONTROL VALVES OPEN:
REMARKS
NAME OF INSTALIING CONTRACTOR
Frontier Fire Protection, Inc.
TESTS WITNESSE�BY
SIGNATURES FOR PROPERTY OWNER(Signed) TITLE DATE
FOR I CONT CTOR(Sgned)� ' T�'LE -
r � DATE
�'(, '�'�� ��;,�" G� �, `.
_._ � , ��.,.� �,7..�/ �'!�J
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ADDIT�ONAL EXPLANATION AND NOTESy/p�' / � / � r /�U �
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